Oral Warts: Symptoms, Treatment, and Risks - Dermatology

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Oral warts


I have had anal warts that were treated with cryotherapy for two years without recurrence, but recently I have been experiencing a sensation of a foreign body in my throat (I have engaged in oral sex).
Could this be warts? Additionally, what are the early symptoms of oral warts? How should oral warts be treated? Furthermore, I would like to ask about my oral sex partner who tested positive for syphilis.
If I performed oral sex on him while having a mouth ulcer and he ejaculated in my mouth, what is the likelihood of contracting syphilis?

Niming, 20~29 year old female. Ask Date: 2018/02/23

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician must personally examine a patient before administering treatment or prescribing medication..." Therefore, online diagnosis is also not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.
You should first schedule an appointment with an oral surgeon.

Reply Date: 2018/02/23

More Info


Understanding oral warts, particularly those caused by the human papillomavirus (HPV), is crucial, especially for individuals with a history of genital warts or those who engage in oral sexual activities. Oral warts can manifest in various ways, and it’s essential to recognize the symptoms, treatment options, and associated risks.

Symptoms of Oral Warts:
Oral warts may appear as small, fleshy growths in the mouth, on the tongue, or on the throat. They can be painless or cause discomfort, particularly if they irritate surrounding tissues. Some common symptoms include:
- A feeling of a lump or foreign body in the throat.

- Changes in taste sensation.

- Difficulty swallowing or a sensation of tightness in the throat.

- In some cases, they may bleed or become ulcerated, leading to pain.

In the early stages, oral warts may not present any noticeable symptoms, making it challenging to identify them without a thorough examination by a healthcare professional.

Treatment Options:
If you suspect you have oral warts, especially given your history of anal warts, it is crucial to consult a healthcare provider for an accurate diagnosis. Treatment options may include:
- Cryotherapy: Freezing the warts with liquid nitrogen, which can effectively remove them.

- Laser therapy: This method uses focused light to destroy the wart tissue.

- Topical treatments: Prescription medications such as imiquimod or podophyllin may be applied to the warts to help eliminate them.

- Surgical removal: In some cases, surgical excision may be necessary, especially if the warts are large or persistent.

It’s important to note that while these treatments can remove visible warts, they do not eliminate the HPV virus from the body. Therefore, warts may recur.

Risks Associated with Oral HPV:
Engaging in oral sex with a partner who has HPV increases the risk of transmitting the virus. If your partner has tested positive for syphilis and you performed oral sex on them while having an oral ulcer, there is a potential risk for transmission of syphilis through direct contact with the infected area. The presence of an ulcer can increase susceptibility to infections, including sexually transmitted infections (STIs).

Preventive Measures:
To reduce the risk of HPV transmission, consider the following:
- Vaccination: The HPV vaccine can protect against the most common strains of the virus that cause warts and certain cancers.

- Barrier methods: Using condoms or dental dams during oral sex can help reduce the risk of transmitting STIs, including HPV.

- Regular screenings: Regular health check-ups and STI screenings for sexually active individuals are essential for early detection and management of potential infections.

In conclusion, if you are experiencing symptoms consistent with oral warts or have concerns about potential STI transmission, it is vital to seek medical advice promptly. A healthcare provider can perform the necessary examinations, provide a definitive diagnosis, and recommend appropriate treatment options tailored to your situation. Remember, early intervention can lead to better outcomes and help manage any potential complications associated with HPV and other STIs.

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